Provider Demographics
NPI:1962408633
Name:TURK, RICHARD C (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:TURK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1040 SIERRA DR STE 400
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7241
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:1225 E COOLSPRING AVE STE 2E
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-6312
Practice Address - Country:US
Practice Address - Phone:219-878-5046
Practice Address - Fax:219-873-2943
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2021-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN02000643207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100147270Medicaid
INM400061750Medicare PIN
IN100147270Medicaid